系统化护理对缺血性脑卒中患者神经功能的影响  

The Effect of Systemic Nursing on the Neurological Function of Patients with Ischemic Stroke

作　　者：赵玉芹[1] ZHAO Yuqin(Department of Internal Medicine,Xuyi County Hospital of Traditional Chinese Medicine,Xuyi,Jiangsu Province,211700 China)

机构地区：[1]江苏省盱眙县中医院内科,江苏盱眙211700

出　　处：《中外医疗》2021年第35期173-176,181,共5页China & Foreign Medical Treatment

摘　　要：目的分析系统化护理应用于缺血性脑卒中患者对其神经功能恢复情况的影响。方法方便选取该院2020年1—12月收治的缺血性脑卒中患者118例,采用抽签法将所选患者分为两组,各59例。对照组予以常规护理,研究组实施系统化护理,比较两组护理效果。结果研究组干预后SAS评分与SDS评分低于对照组,康复依从性(94.92%)高于对照组(79.66%),组间差异有统计学意义(t=12.612,12.076;χ^(2)=6.186,P<0.05)。研究组干预后NIHSS评分低于对照组,BI评分、Fuel-Meyer与MMSE评分均高于对照组,差异有统计学意义(t=9.077、9.577、11.072、5.441,P<0.05)。较之对照组,研究组干预后自护能力及自我效能评分均显著较高,差异有统计学意义(P<0.05)。研究组与对照组满意度分别为93.22%和77.97%,对比差异有统计学意义(χ^(2)=5.567,P<0.05)。结论实施系统化护理干预,对患者的神经功能具有显著改善作用,可减轻患者心理负担,增强患者的自我效能感,使其更积极地配合护理工作,促进患者自护能力提升,从而加速其认知、运动等多方面功能康复,改善其预后情况。Objective To analyze the effect of systemic nursing applied to patients with ischemic stroke on their neurological function recovery.Methods A total of 118 patients with ischemic stroke admitted to the hospital from January to December 2020 were selected and divided into two groups by drawing lots,with 59 cases in each group.The control group was given routine nursing,and the study group was given systematic nursing.The nursing effects of the two groups were compared.Results After intervention,the SAS score and SDS score of the study group were lower than those of the control group,and the rehabilitation compliance(94.92%)was higher than that of the control group(79.66%),and the difference was statistically significant(t=12.612,12.076;χ^(2)=6.186,P<0.05).After intervention,the NIHSS score of the study group was lower than that of the control group,and the BI score,Fuel-Meyer score and MMSE score of the study group were higher than those of the control group,and the difference was statistically significant(t=9.077,9.577,11.072,5.441,P<0.05).Compared with the control group,the self-care ability and self-efficacy scores of the study group were significantly higher after intervention,and the difference was statistically significant(P<0.05).The satisfaction of the study group and the control group was 93.22%and 77.97%,respectively,and the difference was statistically significant(χ^(2)=5.567,P<0.05).Conclusion The implementation of systematic nursing intervention can significantly improve the patient's neurological function,reduce the patient's psychological burden,and enhance the patient's sense of self-efficacy,make it more actively cooperate with nursing work,promote the improvement of patients'self-care ability,thereby speed up their cognitive,sports and other functional rehabilitation,and improve their prognosis.

关 键 词：系统化护理 自护能力 脑卒中 炎性反应 神经功能 满意度 

分 类 号：R47[医药卫生—护理学]